Amy S Borgman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0550030098 Issued in VT

Practice address

90 Washington St
Barre, VT 05641-4239

Phone

(802) 476-6696

Fax

(802) 476-6419

NPI assigned

May 17, 2006

Last updated

Apr 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Planned Parenthood of Northern New England

  • Non-Pharmacy Dispensing Site
  • Barre, VT
  • NPI 1851782015
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1205888294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6092 VERMONT ROUTE 14",
            "city": "BROOKFIELD",
            "state": "VT",
            "postal_code": "050369695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414239",
            "telephone_number": "802-476-6696",
            "fax_number": "802-476-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGMAN",
        "first_name": "AMY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "0550030098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000223",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Blumenthal
• Lacey Elizabeth Boleyn Casey, RN
• Kenyon Castle Bolton IV
• Robin L. Bonser, MED
• Deanna R Booth, LCMHC
• Born Homebirth
• Rob Borowske, D.C.
• Dianne M Bouchard
• Louis D. Boudreau
• Briana Marie Bouffard, RN

• Physician Assistant in Barre, VT
• Providers in Barre, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.